Changes in the MIPS 2019 Proposed Rule: Improvement Activities Category

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The Centers for Medicare & Medicaid Services (CMS) recently issued its Proposed Rule for 2019 under the Quality Payment Program. In our final blog about the proposed changes we examine the Improvement Activities (IA) performance measure category.
CMS does not plan to change the weighting to the final score from 15 percent (as it was in the 2018 performance year). They also maintain that activities are to be performed for at least a continuous 90 days during the performance period.

CMS is proposing to remove the previous bonus points to align with the new Promoting Interoperability scoring requirements.

For the number of activities, clinicians will still need to reach a total of 40 points but will have six new Improvement Activities, five activities will be modified and one existing activity will be removed from the IA inventory. The number of activities for small practices or clinicians located in rural or HPSAs has not changed. They will continue to report on no more than two medium or one high-weighted activity to reach the highest score.

The comment period for the 2019 Proposed Rule closed in September. We expect the Final Rule on the proposals above to be released in November.

If you have additional questions about the 2019 Proposed Rule or questions about MIPS reporting, contact the Quality Reporting Engagement Group at
This information was taken from the InfoDive Coding and Audits webinar held in November 2018.